Management of Multiple Pregnancies
A Practical Guide

A pragmatic and practical, evidence-based guide to the management of multiple pregnancies to improve outcomes for mothers and babies.

Leanne Bricker (Edited by), Julian N. Robinson (Edited by), Baskaran Thilaganathan (Edited by)

9781108843195, Cambridge University Press

Hardback, published 27 October 2022

376 pages
24 x 16 x 2.1 cm, 0.78 kg

Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images – the cornerstone of management of multiple pregnancies - this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.

1. Epidemiology of multiple pregnancy Hong-Thao Thieu and Errol R. Norwitz
2. Assisted conception and multiple pregnancy: strategies to reduce rates Mariano Mascarenhas and Adam Balen
3. Zygosity, chorionicity and amnionicity Waldo Sepulveda and Amy E. Wong
4. Multifetal pregnancy reduction Simi Gupta Talati and Andrei Rebarber
5. Gestational dating in multiple pregnancy Pierre Mace, Houman Mahallati and Laurent J. Salomon
6. Screening for fetal aneuploidy in multiple pregnancy Maria del Mar Gil and Kypros Nicolaides
7. Screening for fetal abnormality in multiple pregnancy Carolina Bibbo, Julian N. Robinson and Beryl Benacerraf
8. Screening and diagnosis of complications of shared placentation Caitlin D. Baptiste and Lynn Simpson
9. Invasive prenatal diagnosis in multiple pregnancy Ranjit Akolekar
10. Conjoined twinning: diagnosis and management Alice King and Michael A. Belfort
11. Management of discordant fetal anomaly Rajit Narayan and Jon Hyett
12. Single and double fetal loss in twin pregnancy Mark Kilby, Leo Gurney, Janice L. Gibson and R. Katie Morris
13. Management of twin-twin transfusion syndrome Christian Bamberg and Kurt Hecher
14. Management of twin anemia-polycythemia sequence Liesbeth Lewi and Enrico Lopriore
15. Management of Twin Reversed Arterial Perfusion (TRAP) sequence Werner Diehl
16. Management of fetal growth pathology in multiple pregnancy Nikolaos Antonakopoulos and Asma Khalil
17. Management of monoamniotic twins Vagisha Pruthi, Shiri Shinar, Johannes Keunen, Greg Ryan and Tim van Mieghem
18. Maternal complications in multiple pregnancy Sarah Rae Easter and Mike Foley
19. Risk-assessment and screening for preterm birth in multiple pregnancy Amanda Roman Alexandra Ramirez, Guillermo Gurza and Vincenzo Berghella
20. Prevention of preterm birth in multiple pregnancies Abdallah Adra
21. Optimal antenatal care in multiple pregnancy Leanne Bricker
22.Triplet and higher order pregnancy: special considerations Ann McHugh and Fergal Malone
23. Timing of delivery in multiple pregnancy Laure Noel and Basky Thilaganathan
24. Mode of delivery in multiple pregnancy Amir Aviram, Jon FR Barret, Elad Mei-Dan and Nir Melamed
25. Practical management of vaginal birth in multiple pregnancy Julian Robinson
26. Neonatal care aspects of multiple pregnancy Alejandra Barrero-Castillero and DeWayne M. Pursley
27. Lifestyle considerations for multiple pregnancy Nathan S Fox
28. Emotional and mental wellbeing in multiple pregnancy Lala Langtry White
29. New frontiers in multiple pregnancy management Caroline Shaw and Christoph Lees
30. Multiple pregnancy resources for professionals and public Natasha Fenwick and Jane Gorringe
31. Obstetric anaesthesia in multiple pregnancy Tarek Ansari.

Subject Areas: Midwifery [MQD], Paediatric nursing [MQCL3], Ultrasonics [MMPF], Paediatric medicine [MJW], Materno-fetal medicine [MJTF]